FERTILITY DIFFERENTIALS AMONG ETHNIC GROUPS IN KOGI STATE, NIGERIA BY Aboluwaji Daniel AYINMORO B.Sc. (Hons) Sociology (NDU), M.Sc. (Hons) Sociology/Demography (Ibadan) Matric. No.: 173704 A THESIS IN THE DEPARTMENT OF SOCIOLOGY SUBMITTED TO THE FACULTY OF THE SOCIAL SCIENCES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY of the UNIVERSITY OF IBADAN, IBADAN MARCH 2021 UNIV ERSITY O F I BADAN LI BRARY ii CERTIFICATION I certify that this thesis was written by Aboluwaji Daniel AYINMORO, with Matriculation Number 173704, in the Department of Sociology, Faculty of the Social Sciences, University of Ibadan, Nigeria. ................................................ ……………………… Supervisor Date Dr. Olufunke A. FAYEHUN B.Sc., M.Sc., PhD. (Ibadan) UNIV ERSITY O F I BADAN LI BRARY iii DEDICATION This thesis is dedicated to God the Father, the Son, and the Holyghost, the Author and the Finisher of my Faith, who endowed me with divine wisdom to accomplish this research and to all the family of Ayinmoro. UNIV ERSITY O F I BADAN LI BRARY iv ACKNOWLEDGEMENTS It is with utmost heart of gratitude that I acknowledge Dr. Olufunke A. Fayehun for her thorough supervision of my thesis. Indeed, her constant and painstaking constructive criticisms including her encouragement and support during the writing of my proposal and the final thesis enabled me to complete my Doctor of Philosophy Degree (PhD) in due time. You are highly appreciated. I also remain grateful to Professor U. C. Isiugo-Abanihe and Professor O. O. Omololu for their excellent contributions in shaping the title of my thesis to a unique and record-breaking topic. I sincerely remain grateful for your pieces of advice on the title of my study - Professor Eze E. Nwokocha and Professor Oka M. Obono, who pushed me to reconsider the topic during the process of writing my thesis. Not all my efforts to actualize my academic pursuit may have come through without your valuable contributions. I am equally indebted to all members of staff in the Department of Sociology. I specially acknowledge the various suggestions gave to me by Professor R. A. Okunola, Professor A. S. Jegede, Professor O. A. Olutayo, Professor A. A. Aderinto (HOD), Dr. O. Akanle, Dr ‘Kunle Ojedokun, Dr A. A. Obiemeta, and Dr K. K. Salami during my pre-field and post- field seminar presentations. I appreciate Professor I. P. Onyeonoru (former HOD), Professor E. E. Okafor, Professor B. Owumi, Dr Bimpe Adenugba, Dr. O. A. Omobowale, Dr. S. A. Omolawal, Dr. D. Busari, Dr. P. A. Taiwo, Dr. O. Adegoke, Dr. Ademuson, Dr. Kudus Adebayo and Dr. S. O. Chukwudeh for your contributions in the writing of my abstract. I really appreciate all your efforts in helping me to shape my thoughts towards the actualization of this great achievement. I will also not be in a hurry to forget Dr. O. J. Taiwo of the Department of Geography, who was my external/internal examiner during my proposal defence. Your invaluable contributions and pieces of advice are well appreciated. To Mr Joseph Olumoyegun of the same Department, I am grateful for all the map works of the study you did. The pictorial presentations of the results on the migration trajectories of all ethnic groups this study attempted to present in a simple, comprehensible and diagrammatic manner wouldn’t have been a success without your intellectual contributions in that aspect. Thank you very UNIV ERSITY O F I BADAN LI BRARY v much. To all CARTA Staff, Prof. A. Omigbodun, Mrs Funke Fowler and Mr Abiodun Aliu, I am grateful for all your supports and encouragements especially during my periods of stay with you as an ad-hoc staff for JAS 3 between 2016 and 2019. To Professor Joshua Eniojukan and the wife, I acknowledge your supports throughout my academic programme. Your enormous contributions to my education remain an indelible mark in the record book of my success. To my parents, Elder Joshua Ayinmoro and Deaconess Deborah Ayinmoro, I appreciate you for instilling in me the ethics of hard work during the process of your primary roles of socializing me. Certainly, your supports throughout my academic life and encouragements make me more optimistic about the purpose of my existence. I appreciate you. I am grateful Mr Sunday Ayinmoro for all his contribution. I appreciate Mrs Modupe N. Adesina for her encourament during my fieldwork. To my darling, Yetunde M. Ayinmoro and children, I appreciate for all the supports and encouragements you gave to me. To all my colleagues, Dr. Turnwait Michael, Olubusayo Ogunsemoyin, Dr. Endurance Uzobo, Chinedu and others, I appreciate you for your supports and encouragements. You really motivated me towards the actualization of this programme. Judith Ani, my friend, thank you for your advice. I remain grateful. Chinedu Earnest, I thank you for your supports and encouragements particularly in connecting me with the person that translated my questionnaire into Igbo language. Dr. Tunrayo Ayobola and Tari Ankpadara, my senior colleagues, I appreciate you. I also appreciate Dr. Elliot A. Sibiri of the Niger Delta University for his contributions. I also express my gratitude to Mr and Mrs Sunday Osoebaiyegbe, Mr and Mrs Owolohun Gbenga, Mr Kunle Dare, Mr and Mrs Sunday Alehile, Mrs Abejirin, Mr Rufus Olubiyo, Mrs Adebayo, Mrs Nwago, Mrs Bayeri, Mrs Isaiah, Timothy among others who all served as my Research Assistants (RAs). UNIV ERSITY O F I BADAN LI BRARY vi ABSTRACT Fertility differentials, which are variations in birth rates among population sub-groups, have largely accounted for the difficulty in formulating a workable population policy in Nigeria. Previous studies on fertility differentials in Nigeria focused mainly on three major ethnic groups – Hausa, Igbo and Yoruba. However, little attention has been given to minority ethnic groups, especially in Kogi State which has more than eight ethnic groups. This study was, therefore, designed to examine fertility levels, contraceptive knowledge and use, and male roles in fertility (contraceptive, sex preference, and family size decisions) among ethnic groups in Kogi State. Preference Theory served as framework, while comparative cross-sectional survey design was employed. Kogi was clustered into East, Central, and West senatorial districts, while Dekina, Adavi and Kabba/Bunu Local Government Areas (LGAs) were purposively selected due to high concentration of ethnic groups in the LGAs. Four ethnic groups (Ebira, Igala, Okun and migrant Igbo) were purposively selected due to their high population density, and a total of 1,314 respondents were selected based on Cochran’s (1977) sample size determination formula. Respondent-driven sampling was used to proportionately administer a structured questionnaire to ever-married women (aged 15-49) among the Ebira (353), Igala (358), Okun (361), and migrant Igbo (242) as a reference group through their respective hometown associations (HTAs). The first sets of eligible respondents were selected from LGAs. Eight key informant interviews and 14 focus group discussions were conducted with HTAs leaders, ever-married women and men. Quantitative data were analysed using descriptive statistics and logistic regressions at p≤0.05, while the qualitative data were content-analysed. The respondents’ age was 34.4±6.2 years; the Ebira (45.9%) and Igala (51.6%) were predominantly Muslims, while the Okun (82.9%) and migrant Igbo (65.3%) were Christians. Fertility levels were 4.5 (Igala), 4.0 (migrant Igbo), 3.6 (Ebira) and 3.4 (Okun) per woman. Fertility levels were significantly higher among the Igala (OR=2.46) and Ebira (OR=1.47), but lower among the Okun (OR=0.66) than the migrant Igbo. Contraceptive knowledge was high among the migrant Igbo (76.9%), Ebira (73.5%), Okun (70.5%) and Igala (63.5%); and significantly associated with secondary (OR=1.32), tertiary (OR=1.23) education and urban residence (OR=3.95). Twenty-four per cent of Igala, 25.7% (Ebira), 64.0% (Okun) and 67.0% (migrant Igbo) used modern contraceptives; and significantly lower among the Igala (OR=0.08), Ebira (OR=0.12), and Okun (OR=0.31) than the migrant Igbo. Thirty-five per cent of the Igala men, 27.4% (Ebira), 23.5% (Okun), and 23.1% (migrant Igbo) played dominant roles in fertility decisions. Male’s dominant roles were significantly associated with women age 20-24 (OR=3.39), spouse with agricultural occupation (OR=2.75), average (OR=11.22) and high (OR=7.11) monthly income. Cultural values that only male children confer respect on women, assure family headship succession and grant inheritance rights increased fertility levels. Religious beliefs, husbands’ disapproval and perceived side effects of contraceptives influenced low contraceptive uptake. Low usage of modern contraceptives and cultural values for male children influence fertility differentials among ethnic groups in Kogi State. There is need for context-specific sensitisation on contraceptive use among ethnic groups in Kogi State. Keywords: Contraceptive use, Male child preference, Ethnic groups in Kogi State Word counts: 493 UNIV ERSITY O F I BADAN LI BRARY vii TABLE OF CONTENTS Title Page i Certification ii Dedication iii Acknowledgements iv Abstract vi Table of Contents vii List of Tables x List of Figures xii List of Boxes xiii Acronyms and Abbreviations xiv CHAPTER ONE: INTRODUCTION 1.1 Background to the Study 1 1.2 Statement of the Problem 4 1.3 Research Questions 6 1.4 Objectives of the Study 6 1.5 Justification/Significance of the Study 6 1.6 Scope of the Study 8 1.7 Conceptual Clarifications 8 1.8 Summary of Chapters 9 CHAPTER TWO: LITERATURE REVIEW AND THEORETICAL FRAMEWORK 2.0 Introduction 11 2.1 Conceptual Review 11 2.1.1 Fertility and Migration as Concepts 11 2.1.2 Family Planning and Contraceptive Methods (Birth Control Methods) 14 2.1.2.1 Modern Methods of Contraception 14 2.1.2.2 Traditional/Natural Methods of Contraception 19 2.2 Ethnicity in Nigeria 23 2.2.1 Ethnicity and Fertility in Nigeria 25 2.3 Migration as a Factor in Fertility 27 2.4 Fertility Patterns/Levels among Ethnic Groups 30 2.5 Awareness/knowledge and Access to Contraception among Ethnic Groups 36 2.6 Contraceptive Use among Ethnic Groups 40 2.7 Male Roles in Fertility Behaviour among Ethnic Groups 46 2.8 Theoretical Framework: Preference Theory of Fertility 51 2.8.1 Application of Preference Theory 56 UNIV ERSITY O F I BADAN LI BRARY viii CHAPTER THREE: RESEARCH METHODOLOGY 3.0 Introduction 60 3.1 Research Design 60 3.2 Study Setting 62 3.3 Study Population 65 3.4 Sample Size 65 3.4.1 Quantitative Sample Size 65 3.4.2 Qualitative Sample Size 67 3.4.3 Inclusion Criteria 70 3.5 Sampling Technique 70 3.5.1 Sampling Procedures 70 3.6 Research Instruments 74 3.6.1 Quantitative Method 74 3.6.1.1 Structured Questionnaire 74 3.6.2 Qualitative Method 74 3.6.2.1 Key Informant Interview 75 3.6.2.2 Focus Group Discussions 75 3.7 Procedure of Administration 77 3.8 Data Processing 77 3.8.1 Quantitative Data Processing 77 3.8.2 Qualitative Data Processing 78 3.9 Methods of Data Analysis 78 3.9.1 Quantitative Method of Data Analysis 78 3.9.1.1 Univariate Analysis 78 3.9.1.2 Bivariate Analysis 78 3.9.1.3 Multivariational Analysis 79 3.9.2 Qualitative Method of Analysis 79 3.9.2.1 Content Analysis 79 3.10 Definitions and Measurements of Key Variables 80 3.11 Validity and Reliability of Research Instruments 84 3.12 Ethical Considerations 84 3.13 Limitations of the Study 86 CHAPTER FOUR: RESULTS AND DISCUSSION 4.0 Introduction 88 4.1 Socio-Demographic Characteristics of the Respondents 88 4.2 Fertility Patterns among Ethnic Groups 92 4.3 Awareness (Knowledge) and Access to contraception by ethnic groups 117 4.3.1 Sources of Contraceptives Awareness/Knowledge and Access to Family Planning Methods 138 UNIV ERSITY O F I BADAN LI BRARY ix 4.4 Contraceptive Use among Ethnic Groups 145 4.5 Male Roles in Fertility Behaviour by Etnic Groups 168 4.6 Discussion of Findings 188 4.6.1 Discussion of Findings on Fertility Patterns/Levels among Ethnic Groups 189 4.6.2 Discussion of Findings on Contraceptive Awareness/Knowledge and Access 193 4.6.3 Discussion of Findings on Contraceptive Use among Ethnic Groups 197 4.6.4 Discussion of Findings on Male Roles in Fertility Behaviour 200 4.7 Findings and Theoretical Relevance 202 CHAPTER FIVE: SUMMARY, CONCLUSION AND RECOMMENDATIONS 5.1 Summary 205 5.1.1 Summary on the Socio-Demographic Characteristics of the Respondents 206 5.1.2 Summary on the Fertility Patterns (Levels) among Ethnic Groups 208 5.1.3 Summary on Knowledge and Access to Contraception 209 5.1.4 Summary on Contraceptive Use among Ethnic Groups 211 5.1.5 Summary on Male Roles in Fertility Behaviour 212 5.2 Conclusion 213 5.3 Recommendations 214 5.4 Contribution to Knowledge 216 5.5 Recommendations for Further Studies 217 References 218 Appendix A Structured Questionnaire 229 Appendix B Key Informant Interview Guide 236 Appendix C Focus Group Discussion Guide (Female Group) 239 Appendix D Focus Group Discussion Guide (Male Group) 241 Appendix E Instrument in Ebira 243 Appendix F Instrument in Igala 250 Appendix G Instrument in Okun 256 Appendix H Instrument in Igbo Language 269 Appendix I Code Book 281 Appendix J Ethical Clearance – Kogi State Ministry of Health 289 Appendix K Ethical Approval – Social Sciences and Humanities Research Committee, University of Ibadan 290 UNIV ERSITY O F I BADAN LI BRARY x LIST OF TABLES Table 3.1 Sample Size Distribution of women of reproductive age by Ethnic Groups 68 Table 3.2 Matrix of Research Instruments by Study Objectives 76 Table 3.3 Measurements and Codes of Key Variables 82 Table 3.4 Data Analysis Matrix by Variables and Instruments 83 Table 4.1 Socio-Demographic Characteristics of the Respondents 90 Table 4.2 Distribution of respondents by age at marriage and age at first birth 95 Table 4.3 Distribution of respondents by breastfeeding patterns, parity and birth interval 101 Table 4.4 Distribution of respondents by ideal number of children and fertility levels 104 Table 4.5 Results of Binary Logistic Regression on Women Fertility Outcome 112 Table 4.6 Percentage Distribution of Respondents by Contraceptive Awareness/Knowledge 118 Table 4.7 Relationship between modern contraceptive knowledge and fertility levels 122 Table 4.8 Relationship between traditional contraceptive knowledge and fertility levels 126 Table 4.9 Relationship between the knowledge of induced abortion and fertility levels 130 Table 4.10 Results of Binary Logistic Regression Models on Contraceptive Knowledge 134 Table 4.11 Percentage Distribution of Respondents by Sources of Contraceptive Knowledge 139 Table 4.12 Distribution of Respondents by Contraceptive Accessibility 142 Table 4.13 Percentage Distribution of Respondents Currently Using Contraceptive Methods 147 Table 4.14 Relationship between modern contraceptive use and fertility levels 151 Table 4.15 Relationship between traditional contraceptive use and fertility levels 155 Table 4.16 Distribution of Respondents by Factors Associated with Induced Abortion 159 Table 4.17 Relationship between the use of induced abortion and fertility levels 161 Table 4.18 Results of Binary Logistic Regression Models on Women Currently Using Contraceptive Methods 165 UNIV ERSITY O F I BADAN LI BRARY xi Table 4.19 Association between male roles in contraceptive use decisions and ethnic groups 170 Table 4.20 Association of male roles childbearing decision and ethnic group 175 Table 4.21. Association of men’s attendance in ANC with wife and ethnic group 177 Table 4.22 Relationship between men’s dominant roles in fertility behaviour and fertility levels 185 Table 4.23 Results of binary logistic regression models on Male’s dominant role in fertility behaviour 187 UNIV ERSITY O F I BADAN LI BRARY xii LIST OF FIGURES Figure 2.1 The Conceptual Framework 59 Figure 3.1 The Map of Kogi State Showing the Distribution and Location of the Indigenous Languages and Ethnic Groupings 64 Figure 3.2 The map of Kogi State Showing the Selected Study Areas by LGAs 69 Figure 3.3. Sampling Flow Chart 73 Figure 4.1 The Mean Distribution of Respondents by the Number of Children Ever Born 93 Figure 4.2 Age and Birth Rates by Ethnic Groups 108 Figure 4.3 Percentage Distribution of Respondents by the Level of Modern Contraceptive Knowledge 120 Figure 4.4 Percentage Distributions of Respondents by the Level of Traditional Contraceptive Knowledge 124 Figure 4.5 Percentage Distribution of Respondents by the Knowledge of Induced Abortion 128 Figure 4.6 Proportion of modern contraceptive use by ethnic groups 149 Figure 4.7 Proportion of traditional contraceptive use by ethnic groups 153 Figure 4.8 Percentage Distributions of Respondents by Induced Abortion 157 Figure 4.9 Percentage distribution of respondents by men’s dominant role in fertility behaviour 183 UNIV ERSITY O F I BADAN LI BRARY xiii LIST OF BOXES Box 4.1 Qualitative Narratives of Age at Marriage by Ethnic Groups 97 Box 4.2 Qualitative Narratives on Ethnic Homogamy 99 Box 4.3 Qualitative Narratives of Sex Preference 106 Box 4.4 Qualitative Narratives of Ideal Number of Children 110 Box 4.5 Qualitative Responses on Contraceptive Awareness/Knowledge 132 Box 4.6 Qualitative Responses on Sources and Access to Contraception 144 Box 4.7 Qualitative Responses on the Contraceptive Use by Methods 163 Box 4.8 Qualitative Responses on Contraceptive Use Decisions 172 Box 4.9 Qualitative Responses on the Key Decision-Taker on Male Child Sex Preference 179 Box 4.10 Qualitative Responses on the Major Decision-Taker on the Ideal Number of Children a Family Should Have 181 UNIV ERSITY O F I BADAN LI BRARY xiv ACRONYMS AND ABBREVIATIONS ASFRs Age Specific Fertility Rates CBR Crude Birth Rate CPR Contraceptive Prevalence Rate FGN Federal Government of Nigeria GFR General Fertility Rate HTAs Home Town Associations LDCs Less-Developed Countries NDHS Nigeria Demographic and Health Survey NGOs Non-Governmental Organizations NISER Nigerian Institute of Social and Economic Research NPC National Population Commission PRB Population Reference Bureau SSA Sub-Saharan Africa TFRs Total Fertility Rates UNDP United Nations Development Programme UN DESAPD United Nations, Department of Economic and Social Affairs, Population Division UNHCR United Nations High Commissioner for Refugees UNPFA United Nations Population Fund UNSDGs United Nations’ Sustainable Development Goals UNIV ERSITY O F I BADAN LI BRARY 1 CHAPTER ONE INTROUCTION 1.1 Background to the Study All over the world, there are wide regional variations in cultural values for children, which are a major factor in preference for large families, especially in less developed countries (LDCs). The preference for large families, on the other hand, is far above global replacement level of 2.1 children per woman particularly in LDCs (Population Reference Bureau, 2011). In sub-Saharan Africa, for example, the average rate of 4.7 children per woman is far above the global rate of 2.5 per woman (United Nations, Department of Economic and Social Affairs, Population Divisions, 2015). Similarly, the average rate of 5.3 children per woman in Nigeria is still high and far above the global replacement level (National Population Commission [NPC], & ICF International, 2019). With the recent report of the Nigeria Demographic and Health Survey (NDHS), regional and state differences in fertility rates also exist in Nigeria, which are often far above both the world and national average rates. However, studies have shown that social, cultural, and economic factors are associated with fertility differentials in a population (Skirbekk, 2008; Isiugo-Abanihe, 2010). In specific terms, ethnic identities and correlates of demographic variables (Amin, & Teerawichitchainan, 2009; White, Muhidin, Andrzejewski, Tagoe, Knight, & Reed, 2008; Brown, & Guinnane, 2007) have been found to be strong determinants of fertility norms among population strata and subgroups, especially in a multi-ethnic population (Fayehun, Omololu, & Isiugo-Abanihe, 2011; Mberu, & Reed, 2014; Palamuleni, 2014). While these have been acknowledged in Nigeria demographic transition, the causes of these variations in fertility norms among divergent ethnic groups are not well-understood. UNIV ERSITY O F I BADAN LI BRARY 2 In sub-Saharan Africa for instance, there is a great influence of ethnic identity in all aspects of human life. It is a critical factor in economic and political system as well as fertility in respect to spouse selection (Isiugo-Abanihe, & Fayehun, 2017; Palamuleni, 2014). The desires for large family size, contraceptive use and decision, duration of breastfeeding and birth spacing are determined by societal norms, which are based on ethnic identities (Mberu, & Reed, 2014; Fayehun, Omololu, & Isiugo-Abanihe, 2011; Kritz, Gurak, & Fapohunda, 1994). Indeed, it is the fundamental value for societal continuity (Obono, 2003). Hence, fertility norms have a direct bearing with ethnic identity, which remains the root cause of variations in population growth by regions and other socio-demographic characteristics (Amin, & Teerawichitchainan, 2009). Given that ethnicity offers a more discernable variations in fertility behaviour in countries with multiethnic compositions (Odimegwu, & Adewoyin, 2020); there are also links between fertility behaviour and migration, especially among those who were of the typology of internal migration with different socio-demographic characteristics (Makinwa-Adebusoye, 1985; Omoyeni, Akinyemi, Omideyi, & Sanya, 2013; NPC, & ICF International, 2014). This suggests it offers a life experience that has insightful consequences on human sexual and reproductive behaviour (World Health Organisations, 2007). For instance, women who moved to new destinations (e.g. urban centres) have shown a relatively lower fertility levels when compared to women who did not move and remained in rural areas where there is low formal education and low living standards (Garenne, & Joseph, 2002; Gugler, 2008). In addition, Omoyeni et al. (2013) and Akinyemi et al. (2017) have observed fertility differentials among internal migrants, which takes the forms of rural-rural, rural-urban, urban-urban, urban-rural and return migration (Oyeniyi, 2013) relative to their fertility levels and contraceptive use among migrants and non-migrants in Nigeria. However, as good as they were at providing the basis for fertility disparities in the country, the patterns of these differentials especially among diverse ethnic compositions in the population are still limited to the majority ethnic groups (Hausa-Fulani, Igbo and Yoruba) (Mberu, & Reed, 2014; Odimegwu, & Adewoyin, 2020), while the minority ethnic groups are not known. UNIV ERSITY O F I BADAN LI BRARY 3 Meanwhile, scholars have suggested that an understanding of the interrelatedness of ethnicity, internal migration and fertility behaviour is important for several reasons (Mberu, & Reed, 2014; Odimegwu, & Adewoyin, 2020). Among other reasons are that it has implications for population growth and control, as well as the need to address regional inequality in soco-economic cum political development (Odimegwu, & Adewoyin, 2020). Relative to Kogi State (Nigeria), there are 21 Local Government Areas (LGAs) with over eight ethnic groups, namely; the Ebira, Igala, Okun, Bassa Nge, Bassa-Komo, Kakanda, Gwari, Oworo, Ogori, Idoma, Igbo, and Mangogo. In her fertility levels on one hand, the 2013 and 2018 NDHS reports show that the median number of children in the state were 4.2 and 4.8 respectively (NPC, & ICF International, 2014; 2019) with an increase of 0.6 children per woman between 2013 and 2018. On the other hand, the report of the National Internal Migration Survey conducted in 2010 by the National Population Commission (NPC) also revealed that 34.2% and 2.8% of her residents were internal and return migrants respectively (NPC, 2010). While the mean difference of 0.5 children seems to be lower than the national average of 5.3 children, the mean number of children among the various ethnic compositions with high sense of internal mobility is still scanty in Nigeria demographic literature. In fact, analysis of fertility by ethnic identity in Nigeria, for example, is generally excluded in most surveys (e.g. NDHS) largely to avoid possible controversies in their interpretations. In spite of this exclusion, there is wide acknowledgement in both government and academic community including the civil society that an understanding of these dimensions in every fertility regime is essential to develop an inclusive population policy and programmes in order to mitigate the predispositions of most communities and ethnic compositions to high fertility in Nigeria’s diverse population. The crux of this study, however, is do ever-married women from the majority ethnic groups (the Ebira, Igala, Okun and the migrant Igbo) differ in their fertility patterns, contraceptive knowledge and use and male roles as influence of ever-married women’ fertility behaviour? UNIV ERSITY O F I BADAN LI BRARY 4 1.2 Statement of the Problem The population of Nigeria is growing exponentially. With the projections of the United Nations’ Population Division, as an example, Nigeria’s population would reach 264.07 million by 2030, 410.64 million by 2050 and 793.94 million by the year 2100 respectively (UN DESAPD, 2017). The rise in Nigeria’s population is attributable to the great variability in cultural values for large family size embedded in ethnicity. Some of these cultural values have resulted into low contraceptive use prevalence rate (CPR) of 17 per cent (NPC, & ICF International, 2019) that could have served as inhibiting mechanisms for human natural potentials to reproduce young offspring as well as male dominant roles in fertility decisions which affect fertility levels. These values and variations in birth rates however, have largely affected the attainment of the population policy targets of 4 children per couple in the country as the average number of children in Kogi State hits 4.8. As a result of the cultural values for large family sizes embraced by most ethnic groups in the state, there are poor attitudes towards the use of effective family planning methods among ever-married women with only 22.4% of them currently using any method (NPC, & ICF International, 2019). Similar to the poor attitudes of couples to the use of effective method of contraceptives, the state has experienced an increase in her median number of children from 4.2 to 4.8 between 2013 and 2018, which accounts for 14.3% in the rate of natural increase. This increase could be detrimental to socio-economic and political environment of the state such as high level of unemployment, poverty, high dependency ratio, marginalization as well as bleak potentials for reaping demographic dividends among others. Severally, the uneven increase in Nigeria population by ethnic groups has led to deprivation and exclusion of most minority ethnic groups from the major social, economic and political benefits. In view of these, there have been constant inter-ethnic rivalry because of the limited availability of resources for the ever-increasing but uneven population distribution. In specific terms, Kogi State has the highest number of ethnic compositions in the north-central Nigeria. Over time, the state has been observed to face the problem of differing opinions being held on policy issues around social, economic and UNIV ERSITY O F I BADAN LI BRARY 5 political matters. Most often than not, the three majority ethnic groups (the Ebira, the Igala and the Okun) interpret policies on matters affecting the socio-economic and political development of the state differently due to persistent mistrust and suspicion of one another. In the recent time, there have been series of hearsays that the Igala are seeking to outnumber the Ebira and the Okun ethnic groups with their fertility behavior, while the Ebira and Okun also feel threatened with the increase in the population of the Igala. These hearsays could be detrimental in a state that is public sector driven where allocation of resources and the quest to address divisional inequality lie with the political class. Nonetheless, it is acknowledged that previous studies have examined fertility behaviour among the majority ethnic groups in Nigeria from different perspectives (Isiugo-Abanihe, 1994; Fayehun, Omololu, & Isiugo-Abanihe, 2011; Mberu, & Reed, 2014; Odimegwu, & Adewoyin, 2020). For example, studies have shown that ethnicity, male child preference, power and authority structure of men among the Hausa, Igbo and Yoruba ethnic groups are responsible for high fertility in Nigeria (Isiugo-Abanihe, 1994; Isiugo-Abanihe, 2010; Fayehun, Omololu, & Isiugo-Abanihe, 2011; Mberu, & Reed, 2014). Similarly, extant studies have explored the significance of mobility in fertility differentials among different population strata where urban migrants’s fertility behaviour has been found to be lower than the stayers or in most cases retain their home of origin fertility behaviour at the destination (Makinwa-Adebusoye, 1985; Odimegwu, & Adewoyin, 2020). While these studies have significantly exposed our knowledge to ethnic fertility differentials among the majority ethnic groups (the Hausa, the Igbo and the Yoruba) in Nigeria, sufficient attention has not been paid to fertility differentials among various minority ethnic compositions in the country, especially in Kogi State, which has more than eight ethnic groups in the north-central Nigeria. Understanding fertility differentials among these ethnic compositions is particularly urgent in the state where there is potential conflicts over allocation of resources and political power tussles among different ethnic groups. It is therefore imperative that fertility differentials among the Ebira, the Igala, the Okun and the migrant Igbo ethnic groups are examined in order to uncover critical cultural values that may permeate high fertility in the state. UNIV ERSITY O F I BADAN LI BRARY 6 1.3 Research Questions This research was guided by the following research questions. i) What are the fertility patterns (levels) of ever-married women in the selected ethnic groups in Kogi State? ii) Are there variations in the level of knowledge, access to, and contraceptive use among ever-married women of the selected ethnic groups in Kogi State? iii) What are the male roles in fertility behaviour of ever-married women in the selected ethnic groups in Kogi State? 1.4 Objectives of the Study The general objective of this research is to examine fertility differentials among ethnic groups in Kogi State, while the specific objectives are to: i) Examine fertility patterns (levels) among ever-married women in the selected ethnic groups in Kogi State. ii) Investigate the variations in the level of knowledge and access to contraception among ever-married women of the selected ethnic groups in Kogi State. iii) Examine differentials in contraceptive use among ever-married women of the selected ethnic groups in Kogi State. iv) Describe male roles in fertility behaviour among ever-married women of the selected ethnic groups in Kogi State. 1.5 Justification/Significance of the Study Efforts to achieve declining fertility by successive governments in Nigeria through National Population Policy formulated in 1988 with its review in 2004 (FGN, 1988; 2004) have proved to no avail as relative to the set goals. The policies have been fraught with difficulties in its implementation as a result of the existence of diverse ethnic groups with varying fertility behaviour (Obono, 2003). In 2015, the United Nations’ Sustainable Development Goal (UNSDG) set target 3.7 as one of its priorities targets: “by 2030 ensure universal access to sexual and reproductive health-care services, including family UNIV ERSITY O F I BADAN LI BRARY 7 planning, information and education, as well as the integration of reproductive health into national strategies and programmes” (SDGs, UN, 2015). In the face of multi-ethnic diversity of Nigeria, it is critical that diverse ethnic groups’ reproductive behaviours are thoroughly examined and understood from the perspectives of ethnicity for proper reproductive health programmes and interventions in the country. This research is expected to add to the growing knowledge of fertility behaviour, as it explored from the perspective of ethnicity and fertility among the selected minority ethnic groups in Nigeria and Kogi State in particular. This would not only expand the frontier of knowledge base of minority ethnic fertility in Nigeria, but also have direct bearing with the efforts of the world body (e.g. UN Population Division) and the Federal Government of Nigeria (FGN) to tackle impending population explosion in the nearest future. This however, points to the need to examine and understand the cultural contexts that sustain high fertility among minority ethnic groups in Nigeria for effective population control measures. In addition, understanding fertility differentials among the minority ethnic groups, especialy in Kogi State will be useful for the assessment of various factors and prospects of population change underlying Nigeria high fertility in respect to the determinants of fertility. However, it will provide evidences regarding the future trends in birth rates across ethnic groups in the state. Finally, in view of the fact that fertility levels do not decline uniformly among Nigerian ethnic compositions; understanding the variations in birth rates among the Ebira, the Igala and the Okun ethnic groups in Kogi State will be helpful in identifying those groups that are more resilient to the acceptance of modern contraceptive use and small family size norms. This will further facilitate the reformulation and adjustment of population policy and programmes targeted at resolving the challenges associated with non-acceptability of moderate fertility norms. UNIV ERSITY O F I BADAN LI BRARY 8 1.6 Scope of the Study The research examined fertility differentials among ethnic groups in Nigeria with particular reference to those that are domicile in Kogi State. This research was therefore, limited to ever-married women (aged 15-49) from the Igala, the Ebira and the Okun- Yoruba ethnic groups being the three major indigenous ethnic groups existing in the state. While ever-married women of reproductive age from the migrant Igbo ethnic group (non- indigenous ethnic group) were used as the reference category being the most migratory ethnic group in Nigeria (NISER, 1997). However, Kogi State was selected as the research locale largely because of the existing gap in knowledge about fertility behaviour of her ethnic compositions, its strategic location (confluence state) and the likelihood of the diffusion of cultural values from the Southern and Northern part of the country that could permeate fertility norms among ever- married women. Therefore, it was the ever-married women (aged 15-49) and selected spouses that were sampled for the provision of information about cultural values that affect fertility outcomes used for the analysis of the study. 1.7 Conceptual Clarifications This section explains the key concepts used within the context of the study. Ethnic group: Refers to a distinct community of people who identify with one another by virtue of common ancestral, language and cultural experiences. Fertility: Fertility means the actual number of births that has occurred in a population, which is measured per 100. Fertility differentials: Fertility differentials refer to variations in birth rates across population the Igala, Ebira, Okun and migrant Igbo women. Migration: Refers to movement of individual or group of people involving a complete change of usual residence across any political or juridical boundary over a period. UNIV ERSITY O F I BADAN LI BRARY 9 Fertility behaviour: Refers to a set of social and cultural practices that directly or indirectly influences childbirth and fertility levels in a given population. Birth control (family planning): Birth control refers to any method used to prevent the occurrence of pregnancy in a population. The mechanisms used for birth control in a population include contraception (modern or traditional) depending on its availability, accessibility and affordability. Contraceptive prevalence rate (CPR): Refers to the proportion of women within reproductive age (15-49) who are using or whose partner are using any contraceptive method at a given period. This is usually calculated as the number of women (15-49) using a contraceptive method divided by total number of women (15-49) multiplied by 100. Demographic dividend: Refers to accelerated economic growth resulting from the shift of age structure in a population when the proportion of the working-age population (15- 64) is greater than the non-working-age (≤14 - ≥ 65). Origin: Refers to the area from which a migrant moves to a new destination. It can also be referred to as the place of departure. Destination: This is referred to the place of arrival. Thus, destination is the area where a migrant settles after his/her departure. Migrant: Refers to a person who moves from one place to another between 1 year and 10 years. 1.8 Summary of Chapters This summary of chapter presents how each chapter is organized. This is organised in five chapters. The “Chapter One” of the report is the “Introduction” of the research. The Chapter described the background information of the thesis, statement of the problem, research questions and objectives. The chapter further included the justification for the research, its scope and conceptual clarifications of the key concepts used in the study. UNIV ERSITY O F I BADAN LI BRARY 10 The “Chapter Two” of the thesis is concerned with “Literature Review and Theoretical Framework” where the review of related literature and theories to which the study was anchored were thematically organized to address specific objectives of the research. This Chapter also gives in-depth conceptualisations of the two population dynamics (migration and fertility) considered in the study, as well as the theoretical underpinnings of the study: Preference Theory as proposed by Catherine Hakim (2000). The chapter was therefore, concluded by a conceptual framework. Additionally, the “Chapter Three” of the thesis is concerned with the presentation of “Research Methodology”. This deals with all procedures employed in the execution of the cannons of research. These procedures included research design, study setting, sample population, sample size, sampling technique and methods of data collection. Also included in the Chapter are data management procedures and analytical strategies for the study. These strategies elicited all the descriptive statistics, multivariate logistic regression and content anlalysis method employed for the analysis of the research. Furthermore, the “Chapter Four” presents “Results and Discussions” of the research. It deals with the real analysis of the data obtained from quantitative and qualitative methods. These results were also presented accordingly in tables, graphs, figures and themes. Finally, the “Chapter Five” of the report is concerned with “Summary, Conclusion and Recommendations”. While summary section summarizes the focus of each chapter in the research, the conclusion draws on the major information obtained from the analysis of the research, as well as the recommendations of the study. Also included in the section are application of theory utilized to the findings, contributions to knowledge, and recommendations for future research. UNIV ERSITY O F I BADAN LI BRARY 11 CHAPTER TWO LITERATURE REVIEW AND THEORETICAL FRAMEWORK 2.0 Introduction This chapter is concerned with conceptual review of the key variables in the study – fertility, migration and family planning (contraceptive) methods. It is also concerned with the review of empirical studies that had been conducted on fertility differentials at international, national and local levels. With regard to this, a reviwew of the relationship between ethnicity and fertility in Nigeria; migration as a factor of fertility differentials; contraceptive knowledge and use among ethnic groups, and male roles in fertility behaviour among ethnic groups. The theoretical framework on which the study was anchored, namely; preference theory of fertility as proposed by Catherine Hakim (2000) was also reviewed, followed by a sketch of a conceptual framework. 2.1 Conceptual Review 2.1.1 Fertility and Migration as Concepts Fertility is the actual births of individual in a population. As Kpekdepo (1982) defined fertility, it is the frequency of childbearing among population. However, different measures for childbearing exist in a population. One of such includes crude birth rate (CBR), which measures the fertility experience of all ages per 1000 in a given population. There is also general fertility rate (GFR), which measures the number of live births per 1000 women of reproductive age (15-49) in a given year. Total fertility rate (TFR), on the other hand, measures the number of children a woman would have between age 15 and 49, if she were to experience the same age specific age rates (ASFR) in her life time (Kpedekpo, 1982). UNIV ERSITY O F I BADAN LI BRARY 12 In fertility however, the frequency of childbearing varies significantly from one age group to another within the reproductive age (15-49). This variation is measured by estimating for age specific fertility rates (ASFRs), which measures yearly live births per 1000 women in each of the childbearing age groups (15-19, 20-24, 25-29, 30-34, 35-39, 40-44, and 45- 49). This is important in order that the current childbearing of women is known within the population. Again, it is helpful in revealing more information about childbearing activity of the population more than CBR, GFR and TFR where there is existence of diverse ethnic groups (Dharmalingam, 2004). While fertility rates have been obsereved to be influenced by several factors including sociodemographic factors such as ethnicity, age, education, location among others, it is expedient that the extant influence of migration as a demographic variable is not ignored. This is because it can serve as a mediating variable to affect cultural values for reproductive decisions among couples (Bertoli, 2015) as well as total fertility rates in the population (Jensen, & Ahlburg, 2004). In view of this, there is a need to conceptualize migration within the context of this study. According to Edmonston and Michalowski (2004), migration is a form of geographic or spatial mobility involving a change of usual residence between clearly defined geographic units. National Population Commission, NPC (2012) defined it as a change of residence, which occurs within 10 years. This means that migration does not only means change of residence, but also include crossing of a defined politically delineated boundary for a specific period of time with defined purpose of stay in the area of arrival. The movement of people from one geographical location to the other could be voluntary or involuntary. It is voluntary when people choose to migrate either for economic reasons or for social reasons. Other people may have no choice other than to leave their usual place of abode or force to leave their homes (Cassidy, 2004). These categories of migrants are termed involuntary migrants such as internally displaced persons (IDPs) and refugees. In fact, most of the causes of their movement are fear of persecution, war or due to the occurrence of natural disaster (e.g. flooding, tsunami, etc.). In terms of the types of migration, there is international migration and internal migration (Edmonston, & UNIV ERSITY O F I BADAN LI BRARY 13 Michalowski, 2004). Migration is international when the movement is across the national boundaries of countries (e.g. movement between Nigeria and Ghana) where emigration and immigration usually take place. It is internal when the movement involves a change of usual residence within a nation or across administrative boundaries or divisions within a country (Morrison, Bryan, & Swanson, 2004). Usually, the calculations of the movement of people from one geographical location to the other are always in rates (and a rate expresses the number of persons having a given characteristic as a proportion of the population during a specified period of time interval). Migration rate is therefore calculated as the number of migrants related to the population that could have been predisposed to the migrations (of any form) during a specified migration period interval. Furthermore, there are two demographic terms common to internal migration. In this, internal migration may be termed as in-migration, which is the influx of people from one origin to a particular place of destination (arrival), while it is termed out-migration when the movement involves people moving out of a place called the origin (departure). According to Bell, Alves, de Oliveira and Zuin (2010), migration processes are not homogeneous, it is therefore necessary that different kinds of internal migration are considered in the study of fertility differentials. Relative to migrant couples as an example, studies have shown that the most common type of movement is usually rural-urban movement (Bell, Alves, de Oliveira, & Zuin, 2010). There is also counter-urbanisation, which represents urban-rural movement. Adewale (2005) noted that this type of movement is prevalent due to the socio-economic factors such as urban unemployment, work transfer, retirement and urban high cost of living among other factors. This type of movement is common in the third world countries. Finally, there is urban-urban migration involving the movement of people from one city to the other. According to Zelinsky (1971) in his migration theory, all types of migration influence significantly on human fertility in one form or the other. UNIV ERSITY O F I BADAN LI BRARY 14 2.1.2 Family Planning and Contraceptive Methods (Birth Control Methods) Family planning (FP) is the use of any method to prevent or avoid the occurrence of pregnancy by couples. According to NDHS 2018, FP means, “a conscious effort by a couple to limit or space the number of children they want to have through the use of contraceptive methods” (NPC, & ICF International, 2019, p. 17). In other words, it is a deliberate effort that allows couples or individuals (husbands or wives) to regulate their family sizes, the timing they want the children, as well as the spacing of the children they desire to have in their reproductive age. It involves the voluntary use of various methods of contraception to prevent the occurrence of unwanted pregnancy. These devices may include the use of chemical substances or drugs among couples, or performing surgical operations to interfere the normal process of ovulation and egg fertilization in women (aged 15-49). According to the NDHS reports, the methods of contraception are classified into modern and traditional methods (NPC, & ICF International, 2008; 2014; 2019). Also included in Nigeria traditional family planning methods are post-coital pregnancy prevention, charms and herbs (Oye-Adeniran et al., 2006). Nevertheless, the two broad classifications of contraceptive methods – modern and traditional would be explained in details as follows: 2.1.2.1 Modern Methods of Contraception The term modern contraceptive methods refer to technological devices designed to alter natural body hormonal system in either male or female. These technological devices are invented so that the natural impulses and desires for pregnancy in women can be altered with a view of achieving diminished risks of pregnancy when mating. This follows that couples can have sex at any desired time without necessarily resulting to pregnancy (Westoff, 2012; USAID, 2012). According to USAID (2013), the following are the methods of modern contraception: Sterilisation: Sterilisation can be best described .s a permanent method of modern contraception. It can be used as a family planning method by both female and male, which usually involves minor surgery. According to Zoe (2009), sterilization is a method of UNIV ERSITY O F I BADAN LI BRARY 15 family planning that involves a safe surgical operation, which may not require hospitalisation. This method of family planning is about 99% effective and considered permanent method of contraception. The procedure of the surgical operation, when performed on a man or woman, is termed irreversible, because it is highly unlikely for either the man or woman to whom the surgery is performed to have any more children. There are those performed for women called female sterilisation, and there are those performed for men called male sterilisation. (a) Female sterilisation: In performing female sterilisation, it is required that a very small incision is carried out in the abdomen of a woman, as well as cutting off and blockade of her fallopian tubes to prevent fertilisation during intercourse. When this is carried out in a woman, it is simply referred to as tubal ligation. Most often, female sterilisation has no side effects when performed by a skilled health care provider. Although the woman may experience abdominal pain and swelling after the surgery; this disappears after some times (USAID, 2013). (b) Male sterilisation: The male sterilisation is usually termed as vasectomy. As Robert (2011) described male sterilisation, it is a surgical operation where a tiny hole is made in the scrotum whereby both tubes carrying sperm to his penis are cut off and blocked. This helps to keep sperm out of the semen and the fluid that is released by a man during intercourse. Robert stated that though the man can still ejaculate and still attain the level of orgasm, there will be absence of sperm in his semen to fertilise an egg for pregnancy. According to USAID (2013), vasectomy has no side effects, and its complications are not also common. Although the procedure of vasectomy make a man feel uncomfortable immediately after it is performed or have a scrotum swell, or even a bruise in the scrotum, these symptoms usually disappear within two to three days. Intrauterine Contraceptive Devices (IUDs): This method of contraception is used as a device with small T-shaped plastic wrapped in copper containing a progestin hormone. A trained health care provider usually inserts this specially into a woman’s uterus. It is also a reversible non-permanent method of contraception replaceable at any time. IUDs are UNIV ERSITY O F I BADAN LI BRARY 16 nearly 100% effective protection from pregnancy for five to twelve years depending on the type of IUDs used (USAID, 2013). The following are the types of IUDs: (a) Copper-bearing IUD: This type of IUD functions by creating an environment that would not be conducive enough for sperm in the uterus to fertilise an egg. When used correctly, it is effective for about twelve years. The most common side effects of this device are monthly bleeding and increased cramping. Although this diminishes gradually after the first three to six months for most women (USAID, 2013). (b) Hormonal IUD: This type of IUD that functions slowly to continuously releasing a small quantity of a progestin hormone when used. It also functions by thickening the cervical mucus of a woman, making it difficult for sperm to pass from the vagina into the uterus for fertilisation. This process prevents ovulation in women, while the lining of the uterus is allowed to grow. According to USAID (2013), this method can only be effective for five years. The side effect of hormonal IUD is bleeding, which may change in patterns or become irregular for some women, while this may not occur in some women (Bongaarts, 2014). Injectable: Injectable is a form of contraceptive that contains only female progesterone without estrogen used in form of injection into a woman’s body tissues to the process of ovulation. This works by thickening the cervical mucus as well as making it very difficult for man’s sperm to go into the uterus. This method is reversible and can be repeated monthly, bimonthly or three months. It is about 94 to 99.8 per cent effective for women. The side effects include changes in menstrual bleeding patterns and irregular or prolonged bleeding (USAID, 2013). Implant: Implant is also called Nexplanon. This device is a tiny thin plastic rod implanted under the skin of a woman’s upper arm by a skilled health care provider. The implant works by releasing hormones into a woman’s body that prevent the occurrence of pregnancy. When the implants are used by women, it provides about 99% effectiveness for 3-5 years period from pregnancy though depending on the type of implant (USAID, 2013). According to Ahmed, Li, Liu and Tsui (2012), for implant to be highly effective in UNIV ERSITY O F I BADAN LI BRARY 17 a woman, it should be removed and replaced promptly in three to five years depending on the type of implant used. It is a reversible method of birth control though having its side effects ranging from irregular vaginal bleeding to spotting. Pills: Pills are oral medicine with hormones that must be taken by a woman daily to prevent the occurrence of pregnancy. They are affordable and effective if they are taken by a woman on time. Besides preventing the occurrence of pregnancy, pills have a lot of health benefits (USAID, 2013). The types of pills that can be used by a woman include: (a) Combined oral contraceptives (COCs): This is also referred to as combined pills or ‘the pill’. In COCs, it is required that a woman should take it daily. And when it is taken daily by a woman, it is nearly 100 percent effective in preventing the occurrence of pregnancy. But if a woman forgets the use of ‘the pill’ daily, there is a probability that out of every hundred women that take it, eighty of them will be pregnant. However, its side effects include nausea or mild headaches, which stop after the first few months of its uses (USAID, 2013). (b) Progestin-only pills (POPs): Progestin-only pill (‘mini pills’) is that which contains only progestin as the name implies. According to USAID (2013), progestin-only pill is highly recommended for women who are still breastfeeding, because progestin will not reduce the production of breast milk as the case may be in estrogen, but less effective for women who are not breastfeeding. For progestin- only pills to be effective, it is required that they are taken about the same time daily. However, there could be some side effects when taken by a woman, which include irregular light bleeding and spotting, which may not be harmful to the woman (USAID, 2013). Barrier methods: Barrier methods are mechanical barrier between the sperm and an egg, which prevent the fertilisation of eggs in the ovary (USAID, 2013). There are different types of barrier methods but two are commonly used (female condom and male condom). These are: a) Male condom: This is a device with a thin sheath usually made of latex (or polyurethane) that is unrolled over an erect penis in order to prevent the sperm UNIV ERSITY O F I BADAN LI BRARY 18 from meeting a woman’s egg in the ovary. Besides its uses for the prevention of pregnancy, it can also protect a man or a woman from contacting STIs/HIV from an infected partner. When male condoms are used correctly at every sexual intercourse, they are 82-98% effective in preventing the occurrence of pregnancy (USAID, 2012; 2013). b) Female condom: This is a polyurethane sheath lubricated pouch that contains two rings, and it is used during intercourse by women. It functions by inserting one ring into the top of the vagina, while the other sits outside its opening to fit the shape of the vagina before the penetration of a man’s penis during sex. Therefore, when used correctly, it does not only prevent pregnancy by keeping male’s sperm out of the vagina, but also prevent the transmission of HIV or STDs from an infected person to uninfected partner. This device have been proved to be 79-95% effective as the male condom if used properly at every intercourse (USAID, 2013). c) Spermicides (also called Foam or Jelly): Spermicides are barrier methods that contain chemical substances, which are inserted into the vagina shortly before sex in order to render a man’s sperm inactive. They can be used either alone or with diaphragms or other device. Spermicides are available as foaming tablets, vaginal suppositories, melting film, jelly and cream. When it is used alone, it is least effective because it is just about 82% effective. Thus, there is possibility that 18 out of every 100 women who use spermicides will get pregnant over a year. Conversely, its uses alone may increase the risk of contacting HIV if used severally (USAID, 2013). d) Diaphragm: A diaphragm is a device with soft and flexible rim dome-shaped rubber cup placed high in the vagina of women by clinicians. This device is inserted before sexual intercourse. It acts as a barrier between the cervix and the sperm of the man to prevent fertilisation. For it to be effective, when inserted in a woman’s vagina several hours before intercourse, it must not be removed immediately after the intercourse for at least six hours. Diaphragm is recommended to be used of spermicidal jelly before use by a woman. Although diaphragm is not an effective method in the prevention of HIV/STDs transmission, UNIV ERSITY O F I BADAN LI BRARY 19 it is an effective means of preventing pregnancy between 85 and 94 per cent (USAID, 2013). Emergency contraceptive pills (ECPs): Trussell and Guthrie (2015) referred emergency contraceptive pills (ECPs) as the type of pills taken by a woman after unprotected sexual intercourse. It also called the “morning-after pill” because they are the pills that must be taken immediately after unprotected sexual intercourse. It has been reported to be effective between 75-95 per cent in preventing pregnancy though depending on the type of ECP used by a woman as well as how soon the pills are taken immediately after unprotected sexual intercourse (USAID, 2013). Robert (2011) recommended that a regular method of contraception should still be selected for a woman by a medical care provider as an on- going protection against pregnancy as an addition to ECPs. Although ECPs may not have serious side effects; headaches, nausea or vomiting after taking ECPs may occur as signs of its uses, which disappears within few days (USAID, 2013). Induced Abortion: Induced abortion is a method of birth control used to end an unwanted pregnancy either by the use of a medication or through suction curettage (called surgery) (USAID, 2012). While other methods of contraception are used to prevent the occurrence of pregnancy, induced abortion is adopted after pregnancy has occurred in a woman. According to Bankole et al. (2006), despite the fact that induced abortion is not officially recognized as a method of family planning in Nigeria except to save the life of a woman; it is still carried out under clandestine conditions when women want to space or cease childbearing but do not use any method of contraception or when the method used is ineffective (Bankole et al., 2006). 2.1.2.2 Traditional/Natural Methods of Contraception In most less developed countries (LDC) of the world, traditional (natural) family planning methods have gained more popularity as an important mechanism for controlling birth among couples. As Potter (1996) submitted, most women in LDC are using traditional methods of contraception for reasons like religious affiliation and the side effects of modern methods of contraception among other reasons. Many demographic studies have UNIV ERSITY O F I BADAN LI BRARY 20 documented various traditional methods of contraception. These are highlighted as follows: Fertility awareness method: Fertility awareness method is traditional or natural method of contraception that requires a woman to identify the fertile days of her menstrual cycle and avoid having sexual intercourse in those days. Although this method is effective in some women, Kaunitz (2001) noted that the method might be fraught with challenges of variability in the menstrual cycle period and day of ovulation. It is therefore essential that fertility awareness should be used along other methods of contraception for high level of effectiveness. Calendar or rhythm method (or Russian Roulette). This method of contraception is based on the prediction of the time of ovulation, which is also predicated on the previous menstrual cycle (Davies, Di-Clemente, Wingood, Person, Dix, & Harrington, 2006). As such, the method requires that information about menstrual cycles is collected over a number of times consecutively so that prediction of the next timing of menstrual cycles can be made in order that sexual intercourse is avoided between or among couples. Usually, the duration of 6-12 cycles is acknowledged; 21 days are therefore calculated and deducted from the shortest cycle to detect the first fertile day, followed by the substraction of 11 days from the longest cycle to recognize the last fertile day. In this method however, women with shorter menstrual cycles have a shorter fertile days. The calendar or rhythm method can only be effective when used with other methods. Standard days method: It is a method of traditional contraception that is 95 per cent effective when correctly used by a woman. It is also most appropriate for women with menstrual cycles that span between 26-32 days long. For this method to be effective, it is required that menstrual cycle days are counted starting from the first day of menstruation. In order to make this method most effective, most women use a coloured-coded string of beads called ‘cycle beads’ to keep their menstrual days in track (USAID, 2013). These days are therefore, categorized as follows: i) Day one is the first day of menstrual bleeding; ii) Days 1-7 can have unprotected sexual activities; UNIV ERSITY O F I BADAN LI BRARY 21 iii) Days 8-19 a barrier method or abstinence is recommended; iv) Day 20 to the end of menstrual cycle can have unprotected sexual activities. Temperature method: Typically, progesterone hormone rises a woman’s body temperature between 0.20C and 0.40C during ovulation, which persists until her menstral cylcle. This temperature further decline between 0.10C and 0.20C prior to the ovulation period, then rises between 0.50C and 0.60C and remains high between 12-15 days until the commencement of the next menstruation. Temperature method is fraught with some shortcomings because it only recognizes the end of ovulation without knowing its onset. It is therefore essential that temperature method employed as contraceptive method in combination with other fertility indicators of a woman due to the probability of fertilisation process taking place within the shortest period of time after ejaculation (within 12 hours). Glasier and Gebbie (2000) pointed out that couples adopt abstinence or the use of more effective method during this period. Roscoe (2003) further added that while a woman with regular menstural cycle could adopt barrier method or abstinence when having intercourse with partner during this period, women with irregular menstrual cycle should not use temperature method as a means of contraception. Ovulation (mucus or billing) method: This method deals with the identification of the discharge of fertile cervical mucus at the viginal opening by a woman. The disacharge takes place for a number of days before the actual ovulation takes place during which fertile mucus appears at the final day. For the purpose of its effectiveness, it is recommended that a woman should abstain from sexual intercourse starting from the day during which the fertile mucus appears for three days (Roscoe, 2003). However, while fertile mucus is thick and sticky, infertile mucus is scanty and viscous. This means that a woman needs to study these two periods of mucus before having unprotected intercourse. Cervical palpation method: This method involves an examination of cervix when it palpates by a woman in recognition of the fertile period. While the cervix looks tender during the fertile period, it feels lower, firm and dry during infertile period. Ovulation therefore comes with feeling of wet and soft touch, while the cervical opens slightly up to UNIV ERSITY O F I BADAN LI BRARY 22 1 to 2cm, suggesting that if a woman should have unprotected intercourse, she is likely to conceive at that period (Glasier, & Gebbie, 2000). Lactational amenorrhoea method (LAM): LAM is a traditional method for postpartum women who breastfeed. This method is concerned with the belief that a lactating woman cannot conceive while breasfeeding a baby even though she has sexul intercourse with her spouse (Bongaarts, & Watkins, 1996). As Bongaarts and Watkins argued, lactation obstructs ovulation while increasing birth interval as well as reduction in natural fertility. This method is highly effective in preventing pregnancy when used correctly and it is very simple to use. The method also encourages exclusive breastfeeding among mothers thereby promote the growth of healthy newborns. There are no side effects when a woman adopts LAM. However, it is not suitable for mothers who are working outside the home and there is no protection for the mother against STIs and the child against HIV (Glasier, & Gebbie, 2000). Withdrawal method: Withdrawal method is a natural birth control that requires high level of commitment, motivation and discipline. Withdrawal method occurs when couples are having intercourse and removal of male penis before ejaculation. This method is widely practiced by couples who want to control birth. Even though withdrawal method is generally adopted as traditional birth control, it is not a good way to protect partners against STIs and HIV infection (USAID, 2012). Herbs: In less developed countries, herbal method of natural birth control is commonly used especially among couples in rural areas (Oye-Adeniran et al., 2006). According to Glasier and Gebbie (2000), some of the herbs that are used by women disrupt the implantation of the fertilised egg in the uterus and are very effective as emergency contraception. For example, mixture and drinking of potash, bluing, lime, cayenne pepper seeds, codeine tablets and gin by women in rural areas distrupt conception (Glasier, & Gebbie, 2000). Besides the oral herbs taken to prevent the occurrence of pregnancy by women, Oye- Adeniran et al. (2006) further stated that vagina solutions are common among rural women to prevent fertilisation of egg in the uterus. These solutions include douches and a UNIV ERSITY O F I BADAN LI BRARY 23 mixture of black soap, oils and herbs. The application of these solutions on the vagina opening during sexual intercourse prevents the occurrence of pregnancy. Again, the use of wild carrot seeds is an effective natural birth control. This is because when the seeds are used, it disrupts the implantation process. Queen Anne’s Lace is also a herbal medicine used as a birth control. Pennyroyal (herbal plant), also works as an emmenagogue that promotes menstrual flow, at the same time used to initiate self-abortion. Charms: Oye-Adeniran et al (2006) identified the use of charms as traditional method of birth control in LDCs. As they explained, the use of charms to prevent the occurrence of pregnancy is mystical, and this includes waist beads (called Jigida), which are rubbed with magical herbs and worn during intercourse to prevent pregnancy. For example, in Philippines especially in the rural areas, some of the folk methods that are used are practical while others are mystical. Sexual abstinence: Sexual abstinence is a no genital or anal contact between people. In other words, it is a method involving no anal, oral or vaginal sex. This method is however, a choice not to participate in any genital contact. Most often, this method is 100 per cent effectiveness in preventing pregnancy, and it remains the safest method of birth control since no anal contact in any form is involved between partners. As Kabiru and Ezeh (2007) further stated, there are three categories of sexual abstainers. Firstly, the primary abstainer - those who had never had sexual intercourse in their life; secondly, secondary abstainers – refers to those who are sexually experienced, but have reported no intercourse in the preceding twelve months; finally, recent abstainers - those who were sexually active in the past year, but not within the three months preceding their survey (Kabiru, & Ezeh, 2007, p. 116). This follows that abstinence as a natural method of birth control could be used to delay birth for the adolescence or to space childbirth among couples throughout thei reproductive years. 2.2 Ethnicity in Nigeria Nigeria as a country is a fragmented society based on ethnic group diversity. According to Blench and Dendo (2003), Nigeria is the third most diverse ethnic and linguistic country among the countries in the world. As Metz (1992) observed, there are about 374 UNIV ERSITY O F I BADAN LI BRARY 24 identifiable ethnic groups evolved from a variety of traditions and cultures in Nigeria. This has significant implications in almost every aspect of her economy, reproductive behaviour and social life as reflected in their social behaviour. In addition, the diverse ethnic groups existing in the country with varied cultural patterns have different levels of social capital, with differing capacities to enter into the process of social change (Blench, & Dendo, 2003). As a result of the ethnic groupings in Nigeria, there were regions that combined ethnicity, geography, and history with three major ethnic groups identified as Hausa-Fulani, Igbo and Yoruba. While the southwestern Nigeria comprises the Yoruba speaking people with similar culture, the southeastern part of the country consists of Igbo speaking group, and Hausa speaking people with similar culture generally dominate the northern region. However, it should be noteworthy that in spite of the three major ethnic groups identified in Nigeria, there are other ethnic groups called Fulani that spread over the northern region including the Kanuri in the north-east, the Tiv, Idoma, Igala, Ebira and Okun people in the north-central among others. Also, there are other ethnic groups in the south-south Nigeria (Niger Delta region) which include Ijaw, Efik, Ibibio, Anang, Epie and Ogbia peoples living in the coastal part of the region (Metz, 1992). As revealed in the literature search, despite the amalgamation of southern and northern protectorates in 1914, significance relationship exists between ethnicity and life chances of individuals in Nigeria’s post-independence (Metz, 1992; Blench, & Dendo, 2003). This suggests that ethnicity remains the basis for social organisation in the traditional context of most societies in sub-Saharan Africa that encompasses a mosaic of observable and unobservable norms, values, belief systems and rituals that govern various life events. Indeed, each ethnic group in any society has its own corpus of knowledge and practices relative to health, nutrition and breastfeeding (Gyimah, 2002). In relation to reproductive behaviour, Isiugo-Abanihe (1994) added that “individual fertility behaviour takes place within the context of complex social organisation and under the influence of multiple social, cultural, and ideological realities” (p.237). This means that every facet of human endeavour is dictated by the cultural and ethnic affiliations of individuals in a multi-ethnic society. UNIV ERSITY O F I BADAN LI BRARY 25 2.2.1 Ethnicity and Fertility in Nigeria It is evident in the literature that there is a link between ethnic groups and cultural practices in Nigeria which could affect the reproductive health behaviour of the people positively or negatively (Obono, 2003; Mberu, & Reed, 2014). For example, breastfeeding for two years can prolong postpartum amenorrhea, which encourages adequate birth spacing. This practice has cultural undertone because it is of the belief of some ethnic groups that sexual activity while breastfeeding could contaminate the breast milk (Fayehun, 2010). Hence, the risk of a woman to conceive during this period is lower. In his argument on cultural link of fertility, Obono (2003) argued that reproductive behaviour came under close cultural influence because it is a fundamental value for societal continuity. As Palamuleni (2014) put it, being a member of an ethnic group is a more powerful reference than the wider national identity in sub-Saharan Africa (SSA). From the perspective of Brockerhoff and Hewett (2000), ethnic identities in sub-Saharan Africa are very strong because it is a fundamental basis for accessing and distributing resources. This follows that all aspects of individual’s life has direct bearing with membership of a particular ethnic group including spousal selection which may in turn affect attitudes towards childbearing and contraceptive use prevalence rate. In Nigeria however, ethnicity does not only play a pivotal role in economic and political sectors as depicted in the mode and pattern of employment and appointment into political offices, but also found as useful parameter in the pattern of nuptiality. For example, Isiugo-Abanihe and Fayehun (2017) studied ethnic, religious and educational homogamy in Nigeria using the pooled of couple dataset of the NDHS conducted in the three series, with 7,548 couples. Findings revealed that more than 90% of couples confirmed high level of ethnic homogamy (intra-ethnic marriage) meaning that out of every ten marriages, only one marriage is exogamous. Although educational homogamy was found less prevalent in the analysis of their study, it is obvious that religious homogamy was found to be highly significant because religion is one of the UNIV ERSITY O F I BADAN LI BRARY 26 priorities for spouse selection in Nigeria with at least seven out of every ten husbands marrying wives from the same religious groups (Isiugo-Abanihe, & Fayehun, 2017). Although intra-ethnic and religious homogamy may be crucial in their own merits to sustain the culture and the socialization process of individual ethnic groups, the high prevalence of the practice among Nigeria population strata may not influence the desire fertility change and norms among spouses of the same group from traditional to modern fertility norms. This is because both the husbands and the wives of the same ethnic or religious affiliation may found it difficult to influence each other towards imbibing fertility norms and values foreign to their cultural belief systems. More so, studies have shown persistent relationships between ethnicity and fertility in Nigeria, which seems to be a rational choice yet found to be in support of high fertility (Isiugo-Abanihe, 1994; Mberu, & Reed, 2014). Isiugo-Abanihe (1994) for instance, investigated the socio-cultural context of high fertility among Igbo women, it was revealed that despite the influence of socio-economic change, as typified by high level of education, high migratory population, and predominance of Christianity among others; Igbo fertility remains high due to the prevalence of peculiar socio-cultural institutions, which tend to encourage or support high fertility. Some of the factors adduced to be responsible for high fertility among Igbo as pointed out by Isiugo-Abanihe are associated with cultural institutions or contextual factors, which are the bestowal of high fertility honour or title to women of a given family size; patriarchal relations as well as patrilinearity and son preference together with individual status indicators (Isiugo- Abanihe, 1994). In another perspective of socio-cultural factors that sustain high fertility regime in Nigeria, Mberu and Reed’s (2014) study shows that early marriage among Hausa-Fulani ethnic group increases the potential for higher fertility when compared to other ethnic groups whose marriages are deferred (Mberu, & Reed, 2014). In their multiple regression analysis, the authors explained that those who married at the age of 20 years and above had small family sizes compared to those who married at the earlier ages. This tradition is UNIV ERSITY O F I BADAN LI BRARY 27 common among Hausa-Fulani, thus, fertility is significantly higher among them when compared to other ethnic groups analysed in their study. Moreover, there are considerable ethnic factors that sustain high fertility regimes in the society. For example, Kritz, Gurak and Fapohunda (1994) studied sex preference and ethnicity among the three major ethnic groups in Nigeria - the Hausa, Ibo and Yoruba – findings showed that preference for male or female children impact significantly on birth spacing. The authors therefore observed that the birth of a son lengthened the time a woman wishes to wait before the next pregnancy, but that effect does not vary by ethnic groups. It was also found that a woman who has no sons or few sons experience shorter birth intervals, which occurs throughout the three ethnic groups. This finding is however consistent with Fayehun, Omololu and Isiugo-Abanihe’s (2011) study, who explored how the sex of a previous child affects birth interval among five selected ethnic groups in Nigeria. The researchers utilised birth history data from 2008 NDHS. The findings showed that the effect of sex of prior births on the birth interval is slightly significant among the Igbo (OR=1.578, P<0.05), who tend to desire to have a male child sooner, if the preceding births were female when compared to other ethnic groups in Nigeria – Hausa-Fulani, Yoruba, Southern minorities and Northern minorities. Further findings revealed that among all the ethnic groups in Nigeria, women who have not met their ideal sex preference have a shorter birth interval when compared to those who have, and that a consistent and strong relationship exists between the survival of a child and subsequent birth interval, which implies that women have a short birth interval. As the authors concluded, short birth interval may increase the potential for a large family size because there is uncertainty that their children would survive (Fayehun, Omololu, & Isiugo-Abanihe, 2011). 2.3 Migration as a Factor in Fertility Several studies have shown a link between migration and fertility outcomes in different ways (Beine, Docquier, & Schiff, 2008; Bertoli, 2015). While some of these studies have considered the effects of migration on fertility decline (e.g. Jensen, & Ahlburg, 2004; Bertoli, 2015), others examine the impact of fertility on migration (e.g. Yang, 2000). As UNIV ERSITY O F I BADAN LI BRARY 28 Naufal and Vargas-Silva (2009) pointed out, the transfer of remittances to homeland, affect fertility in two ways. The first effect occurs when migrants adopt modern fertility ideas, norms, values and attitudes dominant at the host populations, which later transmit to homeland. While the second effect is that when migrants who are attached to household members at country home, they remit money home for the betterment of educational and healthcare services, which may have positive effect on household members thereby resulting in declining fertility rates (Naufal, & Vargas-Silva, 2009). Attempting to establish relationship between migration and fertility, however, most studies usually examine migration as a predictor variable, while fertility remains the outcome variable. Considering the most common mechanisms linking migration and fertility in the causal ordering, Lindstrom and Saucedo (2007) suggested that the mechanisms linking the two variables are disruption and adaptation. While the disruption hypothesis of migration sees the effects of spousal separation on the timing and spacing of childbirths, the adaptation hypothesis views the effects of migration experienced by migrant couples on their fertility behaviour at the destination. Of course, Lindstrom and Saucedo’s postulation on disruption hypothesis is consistent with Kulu (2005), and Chattopadhyay, White and Debpuur (2006) that immediately after the move of migrants from their respective places of origin to destination, it is expected that migrant households would show low fertility levels due to socio-psychological factors associated with living in a new place. In addition, spousal separation may delay a birth or disrupt the tempo of childbearing depending on the duration and frequency of spousal migrant trips (Lindstrom, & Saucedo, 2007). According to Lindstrom and Saucedo (2002), who studied Mexican couples’ temporary migration to the United States, there were evidences of lower probabilities of wives’ conception while their spouses were away to the United States with no long-term separation effects on cumulative fertility. In spite of this, there were evidences that couples compensated the loss of reproductive time by accelerating the timing of childbirths during the years following the periods of separation (Lindstrom, & Saucedo, UNIV ERSITY O F I BADAN LI BRARY 29 2002), there were declining fertility among couples when compared to couples whose husbands did not embark on temporary migration. In view of this migrating individuals from rural areas to urban centres involving mobility from higher fertility to lower fertility levels, it is hypthesised that mobility of couples would lead to a fall in fertility levels due to the costs and opportunities they encounter at their respective destinations (Kulu, 2005; Chattopadhyay, White, & Debpuur, 2006. Because of the enculturation process, that favours fertility preferences and small family sizes, migrant couples are more likely to experience lower fertility compared to nonmigrant couples. Similarly, the adaptation hypothesis propose that fertility levels are expected to fall since the possibilities of migrants encountering relative increases in active engagement in formal employment (for women) and increased access to education (Lindstrom, & Saucedo, 2002). According to Lindstrom and Saucedo (2002) due to a change in the economic environments of migrants, parents are motivated to reduce their value for high fertility while increasing their opportunity costs each additional child. Correspondingly, because of migrants’ exposure to changes in gender norms and values in respect to gender roles, the orientations to child rearing and child investment could be affected in order to provide an ideational basis for downward fertility regimes in a population. Lindstrom and Saucedo’s argument is consistent with Kingsley Davis’ (1963) theory of multi-phasic response to change in modern society, which supports the likelihood for lower fertility in response to the constraints present at the new economic environment. In addition to disruption and adaptation hypothesis, Kulu (2005), and Chattopadhyay, White and Debpuur (2006) added selectivity and socialization hypothesis as another way of explaining the relationship between migration and fertility. By selectivity hypothesis, it is assumed that change in fertility behaviour of the migrants is not a question; rather, migrant households are unique group of people whose fertility levels are more similar to those at the destination than stayers at the origins are. Put differently, the selectivity hypothesis suggests that the observed fertility of migrants in the place of destination is a function of unobserved features that all migrants possess before they actually moved, UNIV ERSITY O F I BADAN LI BRARY 30 which most often views migration and fertility as latent desire for upward social mobility of the migrants. For instance, Lindstrom’s (2003) study of the effects of rural-urban migration on reproductive behaviour in Guatemala showed that women who migrated to urban centres had lower fertility than women who did not even before migration because they were more likely to have delayed marriage when compared to those who did not move. Viewing selectivity hypothesis in another perspective however, migration among couples are seen as investment in children’s future. As such, for those couples who view children as the ‘engines of migration’, migrant couples are more likely to select themselves into a particular migration stream based on their pre-existing fertility preferences and the desires to invest in the quality of their children, rather than the number of children they can give birth to (Jasso, 2004). The implication is that the ideational preference of raising quality children among migrant couples tends to lower fertility outcome than non-migrants’ fertility in a population. From the socialisation hypothesis however, it is assumed that fertility behaviour of migrants would reflect that of childhood environment (Kulu, 2005). This suggests that they are more likely to exhibit similar fertility behavour when compared to those who are stayers over time, while adjustment to fertility behaviour at the new cultural setting occurs only in the next generation (Chattopadhyay, White, & Debpuur, 2006). However, migrants are bound to vary in the manifestation of their fertility outcomes after migration, which is largely dependent on the magnitude of adjustments to new destination in terms of norms and values for children in such cultural setting. The question is that do all migrant couples adjust their reproductive behaviour or outcomes at the same tempo based on membership of ethnic groups in a population or not? This study attempts to examine migrants’ adjustment to reproductive behaviour across selected ethnic groups. 2.4 Fertility Patterns/Levels among Ethnic Groups It is evident in the literature that variations exist in the fertility behaviour by ethnic identities across all societies. There is also spatial component of fertility by geographical diversity in any given society. According to fertility reports from NDHS 2008, 2013 and UNIV ERSITY O F I BADAN LI BRARY 31 2018 for example, different phases of fertility levels are reported in various regions. While some regions are still in the pre-transition stage of fertility transition, some other regions are in the more advanced stage of fertility transition (NPC, & ICF International, 2009; 2014; Mberu, & Reed, 2014; 2019). In a survey of language/ethnicity in fertility levels among Kurdish and Turkish women living in Turkey using Turkish Demographic and Health Survey (2003 TDHS) dataset; Koc, Hancioglu and Calvin (2008) observed that there were substantial differences between the two ethnic groups. While Turkish women had 1.88 children on the average throughout their reproductive years, Kurdish women were significantly higher with 4.07 children during the same period. This is by implication showing that Kurdish women had doubled the average number of children when compared to their Turkish counterparts. There was significant disparity in the age composition of births between the two groups. While childbearing was more concentrated in age group 20–34 for Turkish women, Kurdish women age groups were more concentrated in the late age group of childbearing age. As the study concluded, there were radically different fertility levels and age-patterns between the two language/ethnic groups in Turkey. In the United States, Hartnett (2012) examined White-Hispanic (sub-group populations) differentials in meeting lifetime fertility intentions in the United States, findings revealed that Hispanics (sub-group) in the United States had higher fertility than Whites though the causes of the difference in fertility were not known. Harnett therefore suggested that the Hispanics sub-group in the United States have higher fertility when compared to the Whites because they intend to have more children and are more likely to exceed their fertility intentions. This suggests that there is seemingly ethnic differential of fertility behaviour in the United States following the analysis of this author by ethnic groups. Numerous studies have attributed differences in fertility of modern society to population mobility (Gugler, 2008; Masanja, 2014; Phan, 2014). Phan (2014) suggested that the interpretation of the impact of migration on fertility is also closely related to spatial patterns of fertility and the dissimilarities between migrants and non-migrants. He further explained that because family members remain the major source of labour and old age UNIV ERSITY O F I BADAN LI BRARY 32 security among the rural population, people in the rural areas are accustomed to high fertility norms. As such, when rural dwellers migrate to urban centres, their exposure to lower fertility norms at their destinations will change the traditional fertility norms through socialization, adaptation or disruption. Again, because of the higher costs of rearing or educating children in urban areas, family size tends to be smaller than the rural areas. At the same time, the personal characteristics of migrants such as ambition, innovation and education would change over time and reflect that of the destinations towards declining fertility (Phan, 2014). Khanal, Shrestha, Panta and Mehata (2013) surveyed the fertility outcome of married migrant women and compared their total fertility rates (TFRs) in Nepal by caste and ethnic groupings. It was found that women from Hill Chhetri, Hill Brahman, Hill Janajati, and Terai Janajati, Terai Brahman/Chhetri and Newar had lower TFRs when compared to the national average. Further findings revealed that those women in Tarai Dalit, Hill Dalit and Other Terai Caste (with 25 castes) and of Muslim adherents have much higher fertility rates when compared to that of the national average in spite of their common residences were mainly in Terai where overall CPR is higher than the national average. Relative to educational attainment of women and fertility, an inverse relationship was observed between education and TFR among women in Nepal. As Khanal et al. (2013) observed, those with no education had the highest fertility (TFR=3.7) when compared to those with school leaving certificate and above (TFR=1.7). Relative to husbands’ migration status, it was found that there is lower fertility rates among women whose husbands had experienced out-migration for at least one year when compared to other categories of married women. The study further revealed that the TFR of women whose spouses were absent for at least one year was 3.0 when compared to other categories of women whose spouses are living together with them with the TFR of 3.9. Kahanal and colleagues therefore concluded that targeted approach should be advocated to reduce fertility among the groups with high fertility. Besides disparities in fertility by ethnic identities in any population, there is need to give considerable concern to socio-demographic variables of individuls as confounders. In line UNIV ERSITY O F I BADAN LI BRARY 33 with this, Makinwa-Adebusoye (1985) submitted that in the analysis of any observed fertility differentials between or among social groups including migrants, variations in personal attributes of individuals must be put into consideration in order to isolate their personal characteristics that could influence fertility, which include age at marriage, occupation, and education attainment of individuals. In fact, differentials in fertility behaviour at different areas within a country have become a common demographic phenomenon. These differentials do not occur in isolation but through a continued interrelated and interdependent effect of indirect and direct determinants of fertility (Bongaarts, 1978). Changes or modifications in the indirect determinants of fertility (e.g. educational levels) can affect the direct fertility determinants in order to yield a far-reaching desired fertility goal in a population. In addition, studies have shown significant relationship between spatial movements and proximate determinants, which affect fertility levels, especially from rural to urban settings with improved standards of living (Gugler, 2008). Based on these, Singh, Casterline and Cleland (1985) explored the intermediate fertility variables for sub-national variations with some modifications in the proximate determinant framework. The analysis was based on two significant background characteristics – education and place of residence in 29 countries, which consisted five (5) countries from Africa, 12 from Asia continent, and 12 from Latin America. It was found that despite all forms of nuptial arrangements and the stages of demographic transition, the effect of urbanity on the index of contraception was very significant, while that of non- marriage index was found to be uniform. In African countries, the influence of residence on the index of contraception was minor, moderate in Asian countries, and well pronounced in those countries found in Latin America (Singh, Casterline, & Cleland, 1985). Scholars have investigated the role of age at migration on fertility levels (Masanja, 2014). It was found that migrants whose ages were older than 30 years at migration had significantly lower birth rates than other migrants particularly those who migrated in young adulthood. Masanja therefore concluded that fertility of migrants is strongly UNIV ERSITY O F I BADAN LI BRARY 34 associated with their migration history. Hence, age at migration and duration of stay need to be taken into account when studying migrant fertility (Masanja, 2014). Moreso, in recognition of the religious factor in fertility levels among migrants, Stonawski, Potančoková and Skirbekk (2015) explored the patterns of fertility among native and migrants Muslims living in Europe using data from censuses, administrative population data and surveys from 25 European countries. It was found that the native-born Muslims were 19% higher in TFR, while their migrant counterparts were 62% higher in TFR. The authors therefore concluded that since the native-born Muslims had stayed longer than the recent migrant Muslims, they are more likely to exhibit greater number of children than the native-born Muslims or non-Muslims in the host populations. However, when the socio-economic status of migrant Muslims were considered, the effects on their fertility outcome were rather weak. This suggests that although religion explains high fertility among migrant Muslims in the selected countries, socio-economic status of the migrants needs to be factored in explaining their fertility outcomes. Buttressing this view, the 2013 NDHS report showed that marriage remains the primary indication for women’s exposure to pregnancy risk. Most essential in the analysis of marriage in the reports are age distribution at first marriage and marriage patterns including age distribution at first sexual intercourse as well as frequency of intercourse. As the report indicated, though marriage is universal in Nigeria, men tend to marry later than women because about 48%